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February 2022

Changes to the musculoskeletal procedure codes that require authorization through TurningPoint

We’ve updated the Musculoskeletal procedure codes that require authorization by TurningPoint list to reflect the following changes:

Procedure codes that will no longer require authorization

For dates of service on or after Jan. 1, 2022, the following procedure codes no longer require prior authorization: *63194, *63195, *63196, *63198 and *63199. The American Medical Association retired these codes.

Additional procedure codes that will require prior authorization

For dates of service on or after March 27, 2022, the following procedure codes will require authorization through TurningPoint Healthcare Solutions, LLC:

  • For Blue Cross commercial: *63052 and *63053
  • For Medicare Plus Blue, BCN commercial and BCN Advantage members: *0656T, *0657T, *0707T, *63052, *63053, *64628 and *64629

Additional information

TurningPoint Healthcare Solutions, LLC is an independent company that manages authorizations for musculoskeletal surgical and related procedures for Blue Cross Blue Shield of Michigan and Blue Care Network. For more information about TurningPoint, see the Musculoskeletal Services pages of our ereferrals.bcbsm.com website.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2021 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.